Provider First Line Business Practice Location Address:
1825 SONOMA ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
REDDING
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
96001-2519
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-243-8667
Provider Business Practice Location Address Fax Number:
530-243-8742
Provider Enumeration Date:
05/02/2006